NPIMap

Organization Active NPI

The Rose of Sharon7,Inc.

Doing business as Divine Intervention Recovery

  • Substance Abuse Rehabilitation Facility
  • San Jacinto, CA
National Provider Identifier
1043766371
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
THE ROSE OF SHARON7,INC.
Doing business as
Divine Intervention Recovery
Practice address
23931 Warren Rd
San Jacinto, CA 92582-3795
Phone
(951) 591-0362
NPI assigned
Aug 28, 2016
Last updated
Aug 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sharon Lynette Jackson, M,S,
Title
Ceo
Phone
(951) 591-0362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X CA Primary

Addresses

Primary practice location

23931 Warren Rd
San Jacinto, CA 92582-3795

Mailing address

23931 Warren Road
San Jacinto, CA 92582
Phone (951) 591-0362

Other names 1

  • Divine Intervention Recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Divine Intervention Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1043766371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23931 WARREN ROAD",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "92582",
            "telephone_number": "951-591-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23931 WARREN RD",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925823795",
            "telephone_number": "951-591-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROSE OF SHARON7,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-591-0362",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M,S,"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Intervention Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.